上消化道出血患者人格特质心理弹性及家庭关怀度对其自我感受负担的影响  

作　　者：吴平 揭中华[1] 

机构地区：[1]武警浙江省总队嘉兴医院,314000

出　　处：《浙江临床医学》2018年第6期1103-1105,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨上消化道出血（UGIB）患者的人格特质、心理弹性及家庭关怀度对其自我感受负担的影响。方法采用一般资料调查表、人格特征量表、心理弹性量表、家庭关怀度指数量表和自我感受负担量表对2016年8月至2017年8月就诊的203例UGIB患者进行调查。结果91．63％的UGIB患者存在不同程度的自我感受负担，其自我感受负担总分为（33.23±6.57）分，不同性别、年龄、婚姻状况及医疗费用支付方式的患者，其自我感受负担得分差异有统计学意义（P〈0．05）。UGIB患者的人格特质在精神质、神经质及社会掩饰性得分均显著高于常模。内外性（49．94±10．09）得分低于常模，差异有统计学意义（P〈0．05）；其心理弹性得分为（59.21±10．23）分，低于我国普通成人的心理弹性水平（70．50±13．48）分，差异有统计学意义（P〈0．01）；其家庭关怀度平均得分为（7．03±1．28）分，其中61．58％的患者家庭功能良好。多元回归分析结果显示，UGIB患者的性别、年龄、婚姻状况、费用支付方式、精神质、内外性、神经质、心理弹性、坚韧、乐观、家庭关怀度、情感度、适应度及亲密度是自我感受负担的影响因素，可联合解释其变异的46．8％。结论自我感受负担普遍存在于UGIB患者中，护理人员应关注患者的自我感受负担水平，对其影响因素进行合理干预，从而降低其自我感受负担水平。Objective To explore the effect of personality characteristics, psychological elasticity, and family care on self-perceived burden in patients with upper gastrointestinal hemorrhage. Methods A total of 203 patients with upper gastrointestinal hemorrhage that saw doctors in August 2016 to August 2017 were investigated by general data questionnaire, personality characteristics scale, psychological elasticity scale, family care index scale and self-perceived burden scale. Results 91.63% of patients had different self-perceived burden, the score was （ 33.23 ± 6.57 ） points. The score differences of the self-perceived burden of patients who had different gender, age, marital status, and medical payment were statistically significant （P〈0.05） . The mental quality, neuroticism and social masked of patients were significantly higher than the norm, while the internal and external characteristics was lower than the norm, and the differences were statistically significant （P〈0.05） . The psychological elasticity of patients was （ 59.21 ± 10.23 ） point, which was lower than the average psychological elasticity level （ 70.50 ± 13.48 ） , and the difference was statistically significant （P〈0.01） . The average score of family care was （7.03 ± 1.28 ） point, and 61.58% of patients had good family function. Multiple regression analysis showed gender, age, marital status, medical payment, mental quality, the internal and external characteristics, neuroticism, psychological elasticity, tenacity, optimistic, family care, emotional degrees, fitness, and intimacy were the influence factors of self-perceived burden, which could explain the variation of46.83%. Conclusion The self-perceived burden of patients were widespread. Therefore, nurses should pay attention to the patients＇ self-perceived burden, and take measures to intervene the influences factors, so as to reduce their self-perceived burden level.

关 键 词：上消化道出血 自我感受负担 人格特质心理弹性家庭关怀度 

分 类 号：R743-31[医药卫生—神经病学与精神病学]